Combined unilateral recession/resection surgery in the management of esotropia with near-distance disparity

Antonopoulou, Panagiota; Ghaffari, Mohammad W.; Budd, Adam; Maino, Anna

doi:10.1016/j.jaapos.2019.08.050

Cited by 1 publication

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“…Unilateral CRR may be a hopeful technique for NFD esotropia in the future. [35] Bagolini et al, recommended that in those who have esotropia of inconstant angles , splitting of the MR is an alternate treatment to the Faden procedure (posterior xation suture) applied by Cüppers [10] Subsequently, other surgeons have approved the applicability of the Y-splitting technique in the treatment of NFD esotropia. [10][18][36] Y-splitting will decrease the muscle lever arm length and recession will decrease the muscle force; so YSR of MR muscle will decrease the muscle torque which is the result of multiplication of the muscle lever arm length and its force; this was described by Haslwanter et al [17][18] and Hoeranter et al [19] So that YSR will decrease the NFD esotropia.…”

Section: Bock Et Al Was the Earliest To Explain Crr Technique; They S...mentioning

confidence: 99%

Comparison of three different surgical techniques for convergence excess esotroia

Elsayed,

Mostafa,

Gamal

et al. 2024

Preprint

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The surgical management of convergence excess esotropia (CEET) with near-far disparity (NFD) is a challenging problem. We aim to compare the results of three different surgical procedures; bilateral medial rectus recession(MRR), combined recession–resection (CRR) and Y - splitting recession(YSR) of the medial rectus (MR) muscle. This was a retrospective comparative study of 60 patients records from (2019–2023) who met the inclusion criteria with CEET (NFD), had on their whole cycloplegic refraction and underwent surgical treatment. An acceptable result was outlined as orthophoria or esotropia, less than 10 prism diopters (Δ) at far and near with decline of the NFD to less than 10 Δ at the ending of the follow up period of 2 years. 13 of 20 patients (65%), 15 of 20 patients (75%), 18 of 20 patients (90%), had acceptable results at far and near in Group I (MRR), Group II (CRR) and Group III (YSR) respectively (p value was 0.21) statistically insignificant. No cases of overcorrection (exotropia) were reported at the final follow up visit (2 years) in the three groups. The three surgical techniques were successful but CRR was the most successful, durable, with steadiness of outcomes but extended follow-up periods are even so necessary.

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Section: Bock Et Al Was the Earliest To Explain Crr Technique; They S...mentioning

confidence: 99%

Comparison of three different surgical techniques for convergence excess esotroia

Elsayed,

Mostafa,

Gamal

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Combined unilateral recession/resection surgery in the management of esotropia with near-distance disparity

Cited by 1 publication

References 0 publications

Comparison of three different surgical techniques for convergence excess esotroia

Comparison of three different surgical techniques for convergence excess esotroia

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